E a s t a f r i c a n M E d i c a l J o u r n a l 269 most, of which are odontogenic in origin (1,2). While there is a uniform consensus to surgery as the cornerstone for the treatment of tumours and carcinomas (1,3) with radiotherapy indicated 6.5%, Prevotella melaninogenica 3.2%, Clostridium perfringens 3.2%). mixed aerobic and anaerobic aetiology occurred more in osteosarcoma and fibrosarcoma. Clostridium perfringens was isolated from a case of osteosarcoma with necrotic tissues. the anaerobic bacteria were 100% sensitive to metronidazole, ciprofloxacin and augmentin, 65-85% sensitivity to ampicloxacillin, amoxicillin and erythromycin. over 92% of the streptococci were sensitive to the β-lactams contrast low susceptibility with s. aureus and K. pneumoniae. Conclusion: Interruption of healthcare service was the sole factor identified in the development of sepsis as the patients could not be monitored to ensure compliance to prescription.
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